Introduction: Vertigo is a clinical symptom of many disorders of the balance system. Benign Paroxysmal Positional Vertigo (BPPV), which is told to be idiopathic, may be due to the collection of calcium elements in the gelatinous material of sensory end organs in semicircular canals of the inner ear in different age groups. Medical treatment is no more than a symptom therapy. In some references, physical maneuvers are discussed to be effective in a complete cure of the symptoms. In this study, the effects of physical exercise on the relief of signs and symptoms are evaluated.Materials and Methods: In 2008 and 2000, a total of 112 patients with clinical diagnosis of BPPV, without any other clinical or laboratory findings were divided in two equal groups. The first group was trained in one hour by an experienced physiotherapist to do special maneuvers for 15 minutes TDS. The second group was treated with betaserc mg daily. A third physician evaluated the clinical results at the end of the first, third and sixth months.Results: Age and sex distributions were the same. The disease was commoner in the fifth 10-day period in females and in the sixth 10-day period in males. Complete recovery appeared with rehabilitation in the first month in 62% of females and in 58% of males. The results in the third month were 78% and 82% respectively. In the sixth month, they were 90% and 92% respectively. No worsening or complication was detected in this group. The results in the second group were 32% and 38% for females and males in the first month, 46% and 52% in the third month and 42% and 48% in the sixth month, respectively. Nausea and GI upset were detected in 32% of females and 18% of males. Discussion: Comparison of results between the two groups shows a significant difference and lower effectiveness of medical therapy in these patients. Conclusion: In clinical diagnosis of BPPV by physicians and R/O of the other causes of vertigo, rehabilitation may be recommended as an effective, inexpensive and low complication route of treatment.